Individual
JOHN CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 L ST STE 600, SACRAMENTO, CA 95816-5616
(916) 887-4040
(916) 887-4045
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
G39984
CA
207RC0000X
Cardiovascular Disease Physician
G39984
CA
207RI0011X
Interventional Cardiology Physician
G39984
CA
207UN0901X
Nuclear Cardiology Physician
G39984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060034807
RAILROAD MEDICARE
CA
05
—
GR0068235
—
CA
Enumeration date
11/14/2006
Last updated
03/03/2021
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